<div class="detailContainer" align="left" style="text-align: left; width: 580px;">
    
    <input type="hidden" id="gananciaPeso" />
    <input type="hidden" id="relacionTgHdl" />
    <input type="hidden" id="tensionArterial" />
    <input type="hidden" id="glucemiaAyunas" />
    <input type="hidden" id="cinturaRiesgo" />
    <input type="hidden" id="apnea" />
    <input type="hidden" id="actividad" />

    <table width="100%" style="width: 100%;">
        <tr class="detail-frame">
            <td style="background-color: #FFDDFF;">
                Valor a agregar al imc
            </td>
            <td style="background-color: #FFDDFF; text-align: center;" align="center">
                +0
            </td>
            <td style="background-color: #FFDDFF; text-align: center;" align="center">
                +2
            </td>
            <td style="background-color: #FFDDFF; text-align: center;" align="center">
                +4
            </td>
        </tr>
        <tr class="detail-frame">
            <td class="radio">
               Ganancia de peso (kg) desde los 18 años
            </td>
            <td class="radio">
                <input type="radio" name="ganancia_peso" value="0" field="gananciaPeso" />&lt;5
            </td>
            <td class="radio">
                <input type="radio" name="ganancia_peso" value="2" field="gananciaPeso" />5-15
            </td>
            <td class="radio">
                <input type="radio" name="ganancia_peso" value="4" field="gananciaPeso" />&gt;15
            </td>
        </tr>
        <tr class="detail-frame">
            <td class="radio">
               Relaci&oacute;n TG/HDL col (mg/dL)
            </td>
            <td class="radio">
                <input type="radio" name="relacion_tg_hdl" value="0" field="relacionTgHdl" />&lt;5
            </td>
            <td class="radio">
                <input type="radio" name="relacion_tg_hdl" value="2" field="relacionTgHdl" />5-8
            </td>
            <td class="radio">
                <input type="radio" name="relacion_tg_hdl" value="4" field="relacionTgHdl" />&gt;8
            </td>
        </tr>
        <tr class="detail-frame">
            <td class="radio">
               Tensi&oacute;n arterial (mmHg)
            </td>
            <td class="radio">
                <input type="radio" name="tension_arterial" value="0" field="tensionArterial" />&lt;140
            </td>
            <td class="radio">
                <input type="radio" name="tension_arterial" value="2" field="tensionArterial" />140-160
            </td>
            <td class="radio">
                <input type="radio" name="tension_arterial" value="4" field="tensionArterial" />&gt;160
            </td>
        </tr>
        <tr class="detail-frame mujer">
            <td class="radio">
               Glucemia en ayunas (mg/dL)
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_f" value="0" field="glucemiaAyunas" />&lt;90
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_f" value="2" field="glucemiaAyunas" />90-100
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_f" value="4" field="glucemiaAyunas" />&gt;100
            </td>
        </tr>
        <tr class="detail-frame hombre">
            <td class="radio">
               Glucemia en ayunas (mg/dL)
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_m" value="0" field="glucemiaAyunas" />&lt;95
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_m" value="2" field="glucemiaAyunas" />95-126
            </td>
            <td class="radio">
                <input type="radio" name="glucemia_ayunas_m" value="4" field="glucemiaAyunas" />&gt;126
            </td>
        </tr>
        <tr class="detail-frame mujer">
            <td class="radio">
               Perímetro Cintura (cm)
            </td>
            <td class="radio">
                <input type="radio" name="cintura_f" value="0" field="cinturaRiesgo" />&lt;81
            </td>
            <td class="radio">
                <input type="radio" name="cintura_f" value="2" field="cinturaRiesgo" />81-89
            </td>
            <td class="radio">
                <input type="radio" name="cintura_f" value="4" field="cinturaRiesgo" />&gt;89
            </td>
        </tr>
        <tr class="detail-frame hombre">
            <td class="radio">
               Perímetro Cintura (cm)
            </td>
            <td class="radio">
                <input type="radio" name="cintura_m" value="0" field="cinturaRiesgo" />&lt;94
            </td>
            <td class="radio">
                <input type="radio" name="cintura_m" value="2" field="cinturaRiesgo" />94-102
            </td>
            <td class="radio">
                <input type="radio" name="cintura_m" value="4" field="cinturaRiesgo" />&gt;102
            </td>
        </tr>
        <tr class="detail-frame">
            <td class="radio">
               Apnea del sueño
            </td>
            <td class="radio">
                <input type="radio" name="apnea" value="0" field="apnea" />Ausente
            </td>
            <td class="radio">
            </td>
            <td class="radio">
                <input type="radio" name="apnea" value="4" field="apnea" />Presente
            </td>
        </tr>
        <tr class="detail-frame">
            <td class="radio">
               Actividad
            </td>
            <td class="radio">
                <input type="radio" name="actividad" value="0" field="actividad" />Regular
            </td>
            <td class="radio">
                <input type="radio" name="actividad" value="2" field="actividad" />Sedentario
            </td>
            <td class="radio">
            </td>
        </tr>
        <tr class="detail-frame">
            <td></td>
            <td colspan="2" style="background-color: #FFDDFF; text-align: right;" align="right">
                IMC
            </td>
            <td style="text-align: right;" align="right">
                <input type="text" id="imc_dialogo" size="10" readonly="readonly" />
            </td>
        </tr>
        <tr class="detail-frame">
            <td></td>
            <td colspan="2" style="background-color: #FFDDFF; text-align: right;" align="right">
                IMC Ajustado
            </td>
            <td style="text-align: right;" align="right">
                <input type="text" id="imc_ajustado_dialogo" size="10" readonly="readonly" />
            </td>
        </tr>
        <tr class="detail-frame">
            <td></td>
            <td colspan="2" style="background-color: #FFDDFF; text-align: right;" align="right">
                Riesgo
            </td>
            <td style="text-align: right;" align="right">
                <input type="text" id="riesgo_dialogo" size="10" readonly="readonly" />
            </td>
        </tr>
    </table>
</div>